FCTV Membership Application

Membership is open to any resident and taxpayer in the town of Falmouth, organizations with offices in the town of Falmouth, and others deemed qualified by the Board of Directors. Membership of minors under the age of 18 must be authorized by a parent or legal guardian. Proof of age, Falmouth residency, employment or local taxpayer status may be required. All members must be approved by the Board of Directors.

Please click here to familiarize yourself with FCTV's Operating Rules and Regulations prior to completing this form.

Following submission of this form, an email will be sent to the email address provided with options for paying dues for the membership type selected. Should you have any questions regarding membership at FCTV, please email info@fctv.org.

Suffix

First Name *

Last Name *

Email Address *

Home Address *

Address 2

City *

State *

ZIP Code *

Phone Number *

I am 18 years old or over

I am under 18 years old

Parent Name

Parent Phone

If under 18 years of age, please have your parent or legal guardian enter their full name and phone number to indicate that they have given their permission to participate in FCTV activities and classes. They will be contacted to confirm their permission.

Yearly Membership types and dues are:

$30 for Individual Membership.

$75 for Organizational Membership which includes the yearly dues for one person (Delegate member).
• $15 for each additional person under an Organizational Membership (Representative member).
$75 for a Family group of four members (one voting member).

Membership Type *

Organization

Organization Name

Organization Address

Family

Name of Second Adult

Name and Date of Birth of Each Child Under 18

Referral Program

Were you referred by an FCTV member? *

If yes, please specify who referred you:

New Or Renewing?

I am a new member.

I am renewing my membership.

By checking this box, I hereby acknowledge having read FCTV's Rules and Regulations and agree to abide by them.

Upon submitting this form, FCTV will review your application and send a secure link to the email address you entered for you to pay your dues. Please allow one to two business days for this email. Should you have any questions, please email info@fctv.org. Thank you!